Total Medicaid/CHIP enrollment grew to 90.9 million in September 2022 . That will help us make the concrete plans necessary to make sure this happens in an orderly fashion.. If CMS determines a state is out of compliance with any applicable redetermination and reporting requirements, it can require the state to submit a corrective action plan and can require the state to suspend all or some terminations due to procedural reasons until the state takes appropriate corrective action. Even though Congress could still enact some version of the BBB provisions relating to the unwinding of the continuous enrollment requirement, some states would find an April 1, 2022 renewal start date challenging. Low-income enrollees will able to enroll in ACA coverage during a special enrollment period. Louise Norrisis anindividual health insurancebroker who has been writing about health insurance and health reform since 2006. And since coverage cannot be backdated, its essential to ensure that youre covered before any medical needs arise. Click Check Out Now. You may submit your information through this form, or call to speak directly with licensed enrollers who will provide advice specific to your situation. The COVID SEP ended in most states. endstream
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But the Consolidated Appropriations Act, 2023 ensures that states continue to receive at least some additional federal Medicaid funding throughout 2023. The non-partisan Congressional Budget Office assumes the public health emergency for Covid is set to expire in July. However, we know Congress is considering delinking the FMAP bump and continuous enrollment and other maintenance of effort provisions from the PHE. That is now expected to happen in May 2023. assuming the administration keeps its promise, Unwinding Wednesday #22: Updates to 50-State Tracker with One Month Until Unwinding Start Date, Center for Renewing America Budget Plan Would Cut Federal Medicaid Spending by One-Third, Repeal Affordable Care Acts Coverage Expansions, Federal Medicaid Expansion Incentives Offer Another Tool for States to Continue Coverage as Pandemic-Era Medicaid Rules End. CMS is ending the requirement that the supervising clinician be immediately available at the end of the calendar year where the PHE ends. Medicaid eligibility redeterminations will resume in 2023. These waivers will be available on a time-limited basis and will enable states to facilitate the renewal process for certain enrollees with the goal minimizing procedural terminations. uyx'tE!~YV.v.wDO
@:Z98-PtinB*[Elrcr[b8B9NX5IR'[UC.ok"zf3itMAiP((ISh. Oral arguments on the program were argued before the Supreme Court on February 28, and a decision is expected this Term. during which you can transition to Medicare without any late enrollment penalties. Additionally, people with LEP and people with disabilities are more likely to encounter challenges due to language and other barriers accessing information in needed formats. Current emergencies Update regarding intent to end the national emergency and public health emergency declarations and extensions by way of the Consolidated Appropriations Act (CAA) for Fiscal Year 2023 Update: On Thursday, December 29, 2022, President Biden signed into law H.R. Dont panic: Coverage is almost certainly available. 3190 0 obj
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The primary things to keep in mind: Your Medicaid coverage will continue if you continue to meet the eligibility guidelines and submit any necessary documentation as soon as its requested by the state. How states approach the unwinding process will have implications for the ability of eligible individuals to retain coverage and those who are no longer eligible to transition to other coverage. The Biden administration extended the U.S. coronavirus public health emergency, now more than two years old, for another 90 days on Wednesday. Outside GOP advocates working closely with Congress argued that if those guardrails are built too high, the policy move might not yield the federal revenue thats driving the discussion in the first place. Additionally, the federal government had offered an additional 6.2% match for states who met maintenance of effort criteria during the PHE. In this brief, we project Medicaid enrollment for the population under age 65 and federal and state Medicaid spending for 2022 and . Friday, February 24, 2023. The supervision requirements are also ending but are not based on the 152-day extension. PA MEDI Counselors are specially trained to answer your questions and provide you with objective, easy-to-understand information about Medicare, Medicare Supplemental Insurance, Medicaid, and Long-Term Care Insurance. But enrollment has trended upward throughout the pandemic, without the normal disenrollments that previously stemmed from the regular Medicaid eligibility redetermination process. The COVID-19 Public Health Emergency (PHE) that was declared in March 2020 is set to end on May 11, 2023, as the President has announced there will be no more extensions to the PHE. 506 0 obj
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Eligible individuals are at risk for losing coverage if they do not receive or understand notices or forms requesting additional information to verify eligibility or do not respond to requests within required timeframes. On January 30, 2023, the Biden administration announced its intention to make final extensions of both the COVID-19 National Emergency (NE) and the COVID-19 Public . Of the 42 states processing ex parte renewals for MAGI groups (people whose eligibility is based on modified adjusted gross income), only 11 states report completing 50% or more of renewals using ex parte processes. 2716, the Consolidated . For those individuals, there will generally be two primary options for post-Medicaid coverage: An employer-sponsored plan, or a plan obtained in the health insurance exchange/marketplace. There are millions of people who became eligible for Medicaid at some point since March 2020, and are still enrolled in Medicaid even though they would not be determined eligible if they were to apply today. Please provide your zip code to see plans in your area. What should you do if you currently have Medicaid coverage? For enrollment reporting, states will provide baseline data at the start of the unwinding period related to applications, enrollment, estimated timeframe for completing initiated renewals, and fair hearings, and then states will submit monthly reports that will be used to monitor these metrics throughout the unwinding period (Figure 10). Together, these findings suggest that individuals face barriers moving from Medicaid to other coverage programs, including S-CHIP. At the start of the pandemic, Congress enacted the Families First Coronavirus Response Act (FFCRA), which included a requirement that Medicaid programs keep people continuously enrolled through the end of the month in which the COVID-19 public health emergency (PHE) ends, in exchange for enhanced federal funding. Founded in 2005, CCF is devoted to improving the health of Americas children and families, particularly those with low and moderate incomes. hbbd```b``>"IOjfo H80 f3Or e: ,`2DI[ v&,HK I+@ R
the federal government declared a public health emergency (PHE). ts noteworthy that the additional federal Medicaid funding that states have received is. The ARP is still making premiums more affordable. 2716, the Consolidated Appropriations Act (CAA) for Fiscal Year 2023. For people whose income has increased enough to make them ineligible for Medicaid, but still eligible for this special enrollment period, there will be more flexibility in terms of access to coverage.
But we need to leverage every method to reach people on the program.. US Department of Health and Human Services Secretary Xavier Becerra . Medicaid enrollees should pay close attention to redetermination notices that they may receive once normal eligibility redeterminations resume. The COVID-19 Public Health Emergency (PHE) that was declared in March 2020 is set to end on May 11, 2023, as the President has announced there will be no more extensions to the PHE. These projected coverage losses are consistent with, though a bit lower than, estimates from the Department of Health and Human Services (HHS) suggesting that as many as 15 million people will be disenrolled, including 6.8 million who will likely still be eligible. These plans must describe how the state will prioritize renewals, how long the state plans to take to complete the renewals as well as the processes and strategies the state is considering or has adopted to reduce inappropriate coverage loss during the unwinding period. Plus, if you funnel people into subsidized Obamacare plans, those are more expensive than Medicaid.. On January 30, the Biden Administration announced May 11, 2023, as the targeted end date for the national public health emergency (PHE) declarations implemented during the COVID-19 pandemic. But even if youre eligible for this ongoing special enrollment period, its still in your best interest to submit an application as soon as possible if you find out that youll be losing your Medicaid coverage. (Note that the Biden administration has implemented a fix for the family glitch, making some employees family members newly eligible for marketplace subsidies in 2023 even with an offer of employer-sponsored coverage.). 1. prepare for the eventual end of the COVID-19 public health emergency (PHE), including a State Health Official Letter, Promoting Continuity You can share your story about the impact of the Public Health Emergency HERE. A majority of states also indicated they were taking steps to update enrollee contact information and were planning to follow up with enrollees before terminating coverage. Much of Medicare is in statute, and as a result the Administration has limited authority to expand telehealth absent Congressional action. Earlier today, HHS Secretary Becerra renewed the COVID-related public health emergency (PHE). If you have questions or comments on this service, please contact us. Amid tense arguments about how to spend the savings from the expedited end to the Medicaid portion of the PHE, lawmakers have also struggled over whether and how to set up guardrails to protect people who make slightly too much to qualify for Medicaid from being left without a private health insurance plan they can afford in 2023. These reporting requirements were part of a broad set of CMS guidance documents issued over the past several months. This enrollment growth more than 27% in a little over two and a half years was initially tied to the widespread job and income losses that affected millions of Americans early in the COVID pandemic. Were providing certainty to states and giving them a gradual stream of funding and guardrail requirements that protect people. However, while the new data reporting requirements are useful, they will not provide a complete picture of how the unwinding is proceeding and whether certain groups face barriers to maintaining coverage. However, waivers that allowed advanced practice registered nurses (APRNs) to practice at the top of their license will expire on October 9 absent further Congressional action. Many people who enrolled in Medicaid since early 2020 have never experienced the regular eligibility redeterminations and renewal processes that have long been a part of Medicaid, and those will resume in April 2023 (some enrollees wont receive a renewal notification for several months after that, depending on the approach that their state uses). Many of these waivers and broad . The public health emergency, first declared in January 2020 by the Trump administration, has been renewed every 90 days since the pandemic began. There is no doubt that some people currently enrolled in Medicaid are no longer eligible due to income increases since they enrolled in the program. The resumption of eligibility redeterminations is no longer linked to end of public health emergency. 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